-
psnet.ahrq.gov/node/846127/psn-pdf
March 15, 2023 - and Erik Noren MD, MS
This case describes a patient who developed the potentially life-threatening complication
-
psnet.ahrq.gov/node/72808/psn-pdf
March 03, 2021 - Medicare cuts payment to 774 hospitals over patient
complications.
March 3, 2021
Rau J. Kaiser Health News. February 19, 2021.
https://psnet.ahrq.gov/issue/medicare-cuts-payment-774-hospitals-over-patient-complications
Financial incentives have shown both benefits and limitations in addressing hospital-acquir…
-
psnet.ahrq.gov/node/36583/psn-pdf
January 14, 2011 - The effect of workload on infection risk in critically ill
patients.
January 14, 2011
Hugonnet S, Chevrolet J-C, Pittet D. The effect of workload on infection risk in critically ill patients. Crit
Care Med. 2007;35(1):76-81.
https://psnet.ahrq.gov/issue/effect-workload-infection-risk-critically-ill-patients
Lower…
-
psnet.ahrq.gov/node/38121/psn-pdf
October 08, 2008 - Impact of date stamping on patient safety measurement in
patients undergoing CABG: experience with the AHRQ
Patient Safety Indicators.
October 8, 2008
Glance LG, Li Y, Osler T, et al. Impact of date stamping on patient safety measurement in patients
undergoing CABG: experience with the AHRQ Patient Safety Indicato…
-
psnet.ahrq.gov/node/842771/psn-pdf
January 18, 2023 - Am I safe? An interpretative phenomenological analysis
of vulnerability as experienced by patients with
complications following surgery.
January 18, 2023
Sutton E, Booth L, Ibrahim M, et al. Am I safe? An interpretative phenomenological analysis of vulnerability
as experienced by patients with complications follow…
-
psnet.ahrq.gov/node/40538/psn-pdf
January 11, 2013 - Patient Safety Measures: Complications.
January 11, 2013
Washington, DC: National Quality Forum; December 2012.
https://psnet.ahrq.gov/issue/patient-safety-measures-complications
This Web site provides information about patient safety measures endorsed by the National Quality Forum.
https://psnet.ahrq.gov/issue/pa…
-
psnet.ahrq.gov/issue/impact-date-stamping-patient-safety-measurement-patients-undergoing-cabg-experience-ahrq
December 21, 2014 - Study
Impact of date stamping on patient safety measurement in patients undergoing CABG: experience with the AHRQ Patient Safety Indicators.
Citation Text:
Glance LG, Li Y, Osler T, et al. Impact of date stamping on patient safety measurement in patients undergoing CABG: experience wit…
-
psnet.ahrq.gov/issue/better-surgeons-notes-performance
February 06, 2018 - Book/Report
Better: A Surgeon's Notes on Performance.
Citation Text:
Better: A Surgeon's Notes on Performance. Gawande A. New York, NY: Metropolitan; 2007.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Facebook
Twit…
-
psnet.ahrq.gov/node/35169/psn-pdf
July 13, 2005 - Lay use of lasers fueling complications.
July 13, 2005
Gagnon L. Dermatology Times. June 1, 2005.
https://psnet.ahrq.gov/issue/lay-use-lasers-fueling-complications
This article reports on inappropriate laser use by non-physicians for dermatological procedures. A study
presented at the American Society for Laser Me…
-
psnet.ahrq.gov/issue/feds-stop-public-disclosure-many-serious-hospital-errors
September 17, 2014 - Newspaper/Magazine Article
Feds stop public disclosure of many serious hospital errors.
Citation Text:
Feds stop public disclosure of many serious hospital errors. O'Donnell J.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.14_slideshow.ppt
May 01, 2003 - PowerPoint Presentation
Spotlight Case May 2003
Central Line Complications in an Infant
webmm.ahrq.gov
Source and Credits
This presentation is based on the May 2003
AHRQ WebM&M Spotlight Case in Pediatrics
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary…
-
psnet.ahrq.gov/node/43745/psn-pdf
December 17, 2014 - Identifying hospital-wide harm: a set of ICD-9–CM-coded
conditions associated with increased cost, length of stay,
and risk of mortality.
December 17, 2014
Bankowitz RA, Doyle B, Duan M, et al. Identifying hospital-wide harm: a set of ICD-9-CM-coded conditions
associated with increased cost, length of stay, and ri…
-
psnet.ahrq.gov/node/33847/psn-pdf
August 01, 2017 - psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
https://psnet.ahrq.gov/issue/surgical-skill-and-complication-rates-after-bariatric-surgery
-
psnet.ahrq.gov/node/43434/psn-pdf
August 06, 2014 - Maryland hospitals aren't reporting all errors and
complications, experts say.
August 6, 2014
Cohn M.
https://psnet.ahrq.gov/issue/maryland-hospitals-arent-reporting-all-errors-and-complications-experts-say
This news article reports weaknesses in a Maryland reporting program, including poor understanding about
wh…
-
psnet.ahrq.gov/issue/miles-go-introduction-5-million-lives-campaign
April 04, 2011 - Commentary
Miles to go: an introduction to the 5 Million Lives Campaign.
Citation Text:
McCannon J, Hackbarth AD, Griffin F. Miles to go: an introduction to the 5 Million Lives Campaign. Jt Comm J Qual Patient Saf. 2007;33(8):477-84.
Copy Citation
Format:
Google Scholar Pub…
-
psnet.ahrq.gov/node/45825/psn-pdf
March 25, 2017 - A patient safety dilemma: obesity in the surgical patient.
March 25, 2017
Goode V, Phillips E, DeGuzman P, et al. A Patient Safety Dilemma: Obesity in the Surgical Patient. AANA
J. 2016;84(6):404-412.
https://psnet.ahrq.gov/issue/patient-safety-dilemma-obesity-surgical-patient
Postoperative complications are key m…
-
psnet.ahrq.gov/node/38854/psn-pdf
August 12, 2009 - Implementation of resident work hour restrictions is
associated with a reduction in mortality and provider-
related complications on the surgical service: a
concurrent analysis of 14,610 patients.
August 12, 2009
Privette AR, Shackford SR, Osler T, et al. Implementation of resident work hour restrictions is associ…
-
psnet.ahrq.gov/issue/electronic-health-record-based-triggers-detect-adverse-events-after-outpatient-orthopaedic
December 19, 2017 - Study
Electronic health record-based triggers to detect adverse events after outpatient orthopaedic surgery.
Citation Text:
Menendez ME, Janssen SJ, Ring D. Electronic health record-based triggers to detect adverse events after outpatient orthopaedic surgery. BMJ Qual Saf. 2016;25(1):25-…
-
psnet.ahrq.gov/issue/report-card-system-using-error-profile-analysis-and-concurrent-morbidity-and-mortality-review
June 18, 2008 - Study
A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part II.
Citation Text:
Antonacci AC, Lam S, Lavarias V, et al. A report card system using error profile analysis and concurrent morbidity and mortality rev…
-
psnet.ahrq.gov/issue/morbidity-and-mortality-conference-based-classification-system-adverse-events-surgical
January 28, 2009 - Study
A morbidity and mortality conference-based classification system for adverse events: surgical outcome analysis: part I.
Citation Text:
Antonacci AC, Lam S, Lavarias V, et al. A morbidity and mortality conference-based classification system for adverse events: surgical outcome ana…